CN108523990A - A kind of microwave ablation therapeutic equipment for treating fibroid - Google Patents

A kind of microwave ablation therapeutic equipment for treating fibroid Download PDF

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Publication number
CN108523990A
CN108523990A CN201810090921.XA CN201810090921A CN108523990A CN 108523990 A CN108523990 A CN 108523990A CN 201810090921 A CN201810090921 A CN 201810090921A CN 108523990 A CN108523990 A CN 108523990A
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antenna
outer conductor
inner wire
microwave
microwave ablation
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CN108523990B (en
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张丽娜
孙丽萍
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Affiliated Hospital of University of Qingdao
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00107Coatings on the energy applicator
    • A61B2018/00136Coatings on the energy applicator with polymer
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00559Female reproductive organs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577Ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • A61B2018/1861Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves with an instrument inserted into a body lumen or cavity, e.g. a catheter

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Electromagnetism (AREA)
  • Engineering & Computer Science (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Otolaryngology (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a kind of microwave ablation therapeutic equipments for treating fibroid, include mainly microwave ablation antenna module and microwave generator, and the antenna module is connected to microwave generator by cable one;Antenna module includes mainly antenna probe one, antenna probe two, inner wire one, inner wire two, handle, and microwave generator is equipped with display screen, jack one, jack two, and the jack two passes through three connecting brake of cable.A kind of microwave ablation therapeutic equipment for treating fibroid of the present invention, its microwave ablation antenna module is made of two antenna probes side by side, enters uterus by vagina or uterine cavity, length is adjustable, two groups of antenna probes can be carried out at the same time work, accelerate operating rate, can show that three-dimensional attempts by terminal interface, visualization is high, simple operation, controllability is good, and functional reliability is high, greatly improves therapeutic effect.

Description

A kind of microwave ablation therapeutic equipment for treating fibroid
Technical field
The present invention relates to internal medicine the field of medical instrument technology, it is specifically related to a kind of microwave ablation that treating fibroid and controls Treat instrument.
Background technology
Fibroid be in female sex organ in the most common type benign tumour and human body most common tumour it One, also known as fibromyoma, fibroma uteri.Since fibroid is mainly formed by Uterine Smooth Cell hyperplasia, wherein There is a small amount of fibrous connective tissue to exist as a kind of supporting tissue, therefore referred to as leiomyoma of uterus is more definite.Abbreviation uterus Myomata.Most of patients is asymptomatic, is only occasionally found in pelvioscopy or ultrasonic examination.If any symptom then with myomata growing part Position, speed, whether there is or not denaturation and that whether there is or not complication is in close relations, and it is relatively small with myomata size, number how many relationship.With more A subserous myome person may not have symptom, and myomata can often cause irregular colporrhagia or the moon to be passed through under a smaller mucous membrane It is more.
The clinical treatment demand of fibroid is very extensive.Operation excision myomata or uterus are still common treatment side Method, but it is big with wound, or the shortcomings of be unable to Reservations uterus.Increasingly mature in minimally-invasive treatment technology, especially country is about double Today that only two tires policy will open, protection uterus are of great significance.The Microwave Coagulation Therapy technology of Via vagina is in uterus Myomata therapy field has been achieved with more successful application, but how the advantage of microwave ablation techniques to be combined still to need deeply to be ground Study carefully.Though Microwave Coagulation Therapy fibroid has Preliminary Applications, existing microwave ablation antenna is unfavorable for Via vagina from palace Cavity surface is treated, and is not only artificially destroyed perimetric integrality through abdomen puncture microwave ablation, is also be easy to cause neighbouring Intestinal tube, trauma of bladder, and treatment speed is slow, and visualization is low.
The principle of micro-wave therapeutic disease is more complicated, is mainly realized by fuel factor and biological effect.Due to pole Property it is intermolecular there are magnetic resistance to generate drag effect to oscillation, to consume microwave energy and heat, reached using these heats and controlled The purpose of disease, here it is the fuel factors of micro-wave therapeutic.The characteristics of micro-wave therapeutic, uses high-frequency partial radiation, in smaller microwave Under the conditions of power output, you can reach certain therapeutic effect.Microwave energy can be absorbed by tissue generation endogenous pyrogen, to human body group The effective interaction depth knitted is 5-7CM.Microwave is efficient to the fuel factor of tissue, penetration power is strong, is produced simultaneously with inside and outside The advantages of heat.
Domestic and international numerous studies prove, tumour cell at a temperature of 42.5-43.5 DEG C will atrophy so that death.It is micro- After Wave heating occurs, the mode for treating tumour has two kinds:One is microwaves to enter from extracorporeal irradiation;Another kind is microwave It is sent to patient's body direct irradiation tumour, this two kinds of therapeutic modalities can be selected according to diseased region.When microwave action is in body When tissue, the high-frequency vibration of histocyte intermediate ion, hydrone and dipole can be caused.When microwave output energy is low, radiant heat When can be few, local blood circulation can be enhanced, accelerate local metabolic, enhance local immunocompetence, therefore, office can be effectively improved Portion's blood circulation promotes absorption of edema, anti-inflammatory analgetic.
Microwave Coagulation Therapy fibroid has the following advantages that:Reservations uterus does not destroy pelvic cavity physiological structure, sub after treatment Palace myomata is inactivated and is obviously reduced until disappearing.Ovarian function is had no significant effect, of that month patient menstrual cycle is being just after treatment Often.Without operating on, is punctured in lesion from vagina through uterus when treatment, be implanted into microwave needle.Easy to operate, rapid, effective, Safety, wound are small.Hospital stays is short, it is only necessary to 1-2 days.
Invention content
The technical problem to be solved by the present invention is to provide a kind of microwave ablation therapeutic equipments for treating fibroid, can be more accurate Microwave Coagulation Therapy fibroid is really rapidly carried out, and visualization is high.
The technical scheme is that:A kind of microwave ablation therapeutic equipment for treating fibroid includes mainly microwave ablation Antenna module and microwave generator, the antenna module are connected to microwave generator by cable one;Antenna module includes mainly Antenna probe one, antenna probe two, inner wire one, inner wire two, handle, the antenna probe one are arranged in the inner wire one Top, the antenna probe two sets on the top of the inner wire two, and one outside of the inner wire is enclosed with outer conductor one, institute It states two outside of inner wire and is enclosed with outer conductor two, between inner wire one and outer conductor one and between inner wire two and outer conductor two There are certain gap, the outer conductor one to be equipped with radiation detector one, the outer conductor two is equipped with radiation detector two, institute Stating the length of outer conductor one and outer conductor two can be adjusted by length adjuster, and outer conductor one and outer conductor two are far from antenna One end of probe one and antenna probe two is connected to the handle, and handle upper end is equipped with hub, the hub upper end access Cable one and cable two also access coolant liquid and flow into port and coolant liquid outflow port, and the coolant liquid flows into port by leading Pipe one is connected to pump, and the coolant liquid outflow port is connected to pump by conduit two, and the pump is connected to coolant liquid by hose Container, the coolant liquid in cooling liquid container by being pumped into conduit one, by coolant liquid flow into port enter inner wire one with it is outer Gap between conductor one and between inner wire two and outer conductor two, then by coolant liquid outflow port outflow, pass through conduit two Reflux;The other end of the cable two is connected to terminal interface, close to antenna probe one and day on outer conductor one and outer conductor two Two one end of line probe is mounted on 360 ° of high definition micropore cameras, and camera is connected to cable two by data line;The microwave Generator is equipped with display screen, jack one, jack two, and plug is equipped on the cable one, and the plug is inserted into the jack To be connected to microwave generator in one;The jack two passes through three connecting brake of cable.
Further, in the above scheme, ablation system control button is housed, operation is more convenient in the handle.
Further, in the above scheme, the cable one is equipped with separator close to hub one end.
Further, the separator is catheterization microwave energy delivery device, mainly by circuit board and screen Connector composition is covered, has the function of preventing electromagnetic interference (EMI) emissions from entering or preventing leakage.
Further, it is additionally provided with filter between the separator and handle, interference can be eliminated.
Further, in the above scheme, the antenna probe one and antenna probe two are cone point, and exterior view has Coating.
Further, the antenna probe one and antenna probe are second is that by being adapted to penetrate through the various heat-resisting of tissue Material is made, preferably metal (such as stainless steel) and various thermoplastic materials (such as polyetherimide and polyamide thermoplastic tree Fat).
Further, the constituent of the coating is:Polytetrafluoroethylene (PTFE) (PTFE), polyvinyl chloride and poly- to diformazan Benzene, three are 5 according to mass ratio:1:The mixture of 2 ratio composition.
Further, the coolant liquid for dress being multiplied in the cooling liquid container is:Deionized water or mass concentration are 0.02- 0.5% brine.The cycle of coolant liquid can guarantee that antenna module 1 works under higher power.
Further, the inner wire one, inner wire two, outer conductor one, outer conductor two can by copper, gold, stainless steel or its Conductive metal similar in its conductivity value is constituted, and can also plate other conductive materials in metal surface, to improve its performance, such as It improves conductivity or reduces energy loss.
The beneficial effects of the invention are as follows:A kind of microwave ablation therapeutic equipment for treating fibroid that the present invention designs, it is micro- Wave ablation antenna module is made of two antenna probes side by side, enters uterus by vagina or uterine cavity, and length is adjustable, two groups Antenna probe can be carried out at the same time work, greatly speed up operating rate, and can show that three-dimensional attempts by terminal interface, visually Change degree is high, can respectively be controlled with the brake being connected on microwave generator by the ablation system control button on handle The work of microwave ablation antenna module and microwave generator, simple operation can show microwave on the display screen of microwave generator The work in every parameter of antenna module and microwave generator is melted, controllability is good, but also is equipped with separator and filter, can be with It prevents electromagnetic interference, eliminate the harmful effect, ensure the functional reliability of microwave ablation antenna module, greatly improve therapeutic effect.
Description of the drawings
Fig. 1 is the structural schematic diagram of the present invention;
Fig. 2 is the structural schematic diagram of microwave ablation antenna module;
Fig. 3 is the circuit diagram of filter;
Wherein, 1- microwave ablations antenna module, 10- length adjusters, 11a- antenna probes one, 11b- antenna probes two, 12a- outer conductors one, 12b- outer conductors two, 13a- radiation detectors one, 13b- radiation detectors two, 14a- inner wires one, 14b- Inner wire two, 15- handles, 16- body cavitys, 17- hubs, 18- separators, 19- cables one, 20- plugs, 2- microwave generators, 21- display screens, 22- jacks one, 23- jacks two, 3- brakes, 31- cables three, 4- cooling liquid containers, 41- pumps, 42- conduits One, 43- conduit two, 421- coolant liquids flow into port, and 431- coolant liquids flow out port, 45- hoses, 5- terminal interfaces, 51- cables Two.
Specific implementation mode
With reference to embodiment come to the present invention be further described in detail:
A kind of microwave ablation therapeutic equipment for treating fibroid includes mainly that microwave ablation antenna module 1 and microwave occur Device 2, the antenna module 1 are connected to microwave generator 2 by cable 1;Antenna module 1 includes mainly antenna probe one 11a, two 11b of antenna probe, one 14a of inner wire, two 14b of inner wire, handle 15, one 11a of the antenna probe and the antenna Two 11b of probe is made of polyetherimide, and one 11a of antenna probe is arranged in the top of one 14a of the inner wire, antenna probe Two 11b are set on the top of two 14b of the inner wire, and one 11a of antenna probe and two 11b of antenna probe are cone point, surface It is coated with coating 111, the constituent of coating 111 is:Polytetrafluoroethylene (PTFE) (PTFE), polyvinyl chloride and Parylene, three press It is 5 according to mass ratio:1:The mixture of 2 ratio composition;Be enclosed with outer conductor one 12a outside the inner wire one 14a, it is described in It is enclosed with two 12b of outer conductor, one 14a of inner wire, two 14b of inner wire, one 12a of outer conductor, outer conductor two outside two 14b of conductor 12b can be made of copper, gold, stainless steel, between one 12a of one 14a of inner wire and outer conductor and two 14b of inner wire and outer conductor two There are certain gap, one 12a of the outer conductor to be equipped with one 13a of radiation detector, set on two 12b of the outer conductor between 12b There are two 13b of radiation detector, the length of two 12b of one 12a of the outer conductor and outer conductor that can be adjusted by length adjuster 10 Section, the one end of one 12a of outer conductor and two 12b of outer conductor far from two 11b of one 11a of antenna probe and antenna probe is connected to the hand Handle 15, handle 15 is interior to be equipped with ablation system control button, and operation is more convenient;15 upper end of handle is equipped with hub 17, the line concentration Cable 1 and cable 2 51 are accessed in 17 upper end of device, and cable 1 is equipped with separator 18, separator 18 close to 17 one end of hub It for catheterization microwave energy delivery device, is mainly made of circuit board and shielded connector, having prevents electromagnetic interference Radiation enters or prevents the effect of leakage, is additionally provided with filter between separator 18 and handle 15, can eliminate interference, hub 17 also access coolant liquids flow into port 421 and coolant liquid outflow port 431, and the coolant liquid flows into port 421 and passes through conduit one 42 are connected to pump 41, and the coolant liquid outflow port 431 is connected to pump 41 by conduit 2 43, and the pump 41 is connected by hose 45 It is connected to cooling liquid container 4, the coolant liquid that dress is multiplied in cooling liquid container 4 is:Deionized water or mass concentration are 0.02-0.5%'s The cycle of brine, coolant liquid can guarantee that antenna module 1 works under higher power, and the coolant liquid in cooling liquid container 4 passes through Pump 41 is pumped into conduit 1, is entered by coolant liquid inflow port 421 between one 14a of inner wire and one 12a of outer conductor and interior Gap between two 12b of two 14b of conductor and outer conductor, then flowed out by coolant liquid outflow port 431, it is flowed back by conduit 2 43; The other end of the cable 2 51 is connected to terminal interface 5, close to antenna probe one on two 12b of one 12a of outer conductor and outer conductor 11a and two one end 11b of antenna probe are mounted on 360 ° of high definition micropore cameras, and camera is connected to cable two by data line 51;The microwave generator 2 is equipped with display screen 21, jack 1, jack 2 23, and plug is equipped on the cable 1 20, the plug 20 is inserted into the jack 1 to be connected to microwave generator 2;The jack 2 23 passes through cable 3 31 Connecting brake 3.The microwave ablation antenna module of this microwave ablation therapeutic equipment is made of two antenna probes side by side, by the moon Road or uterine cavity enter uterus, and length is adjustable, and two groups of antenna probes can be carried out at the same time work, greatly speed up operating rate, and Can show that three-dimensional attempt by terminal interface, visualization is high, can by ablation system control button on handle and The brake being connected on microwave generator controls the work of microwave ablation antenna module and microwave generator respectively, and operation is just Victory can show the work in every parameter of microwave ablation antenna module and microwave generator on the display screen of microwave generator, can Control property is good, but also is equipped with separator and filter, can prevent electromagnetic interference, eliminate the harmful effect, and ensures microwave ablation day The functional reliability of line component, greatly improves therapeutic effect.
Finally it should be noted that:The above embodiments are merely illustrative of the technical solutions of the present invention, rather than its limitations;Although Present invention has been described in detail with reference to the aforementioned embodiments, it will be understood by those of ordinary skill in the art that:It still may be used To modify to the technical solution recorded in previous embodiment or equivalent replacement of some of the technical features;And These modifications or replacements, the spirit and model of technical solution of the embodiment of the present invention that it does not separate the essence of the corresponding technical solution It encloses.

Claims (9)

1. a kind of microwave ablation therapeutic equipment for treating fibroid, which is characterized in that include mainly microwave ablation antenna module (1) With microwave generator (2), the antenna module (1) is connected to microwave generator (2) by cable one (19);Antenna module (1) Mainly include antenna probe one (11a), antenna probe two (11b), inner wire one (14a), inner wire two (14b), handle (15), The antenna probe one (11a) is arranged on the top of the inner wire one (14a), and the antenna probe two (11b) is set described The top of inner wire two (14b), the inner wire one (14a) outside are enclosed with outer conductor one (12a), the inner wire two Outer conductor two (12b) is enclosed with outside (14b), between inner wire one (14a) and outer conductor one (12a) and inner wire two There are certain gap, the outer conductor one (12a) to be equipped with radiation detector one between (14b) and outer conductor two (12b) (13a), the outer conductor two (12b) are equipped with radiation detector two (13b), the outer conductor one (12a) and outer conductor two The length of (12b) can be adjusted by length adjuster (10), and outer conductor one (12a) and outer conductor two (12b) are far from antenna One end of probe one (11a) and antenna probe two (11b) is connected to the handle (15), and handle (15) upper end is equipped with hub (17), hub (17) upper end access cable one (19) and cable two (51), also access coolant liquid inflow port (421) and Coolant liquid flows out port (431), and the coolant liquid flows into port (421) and is connected to pump (41) by conduit one (42), described cold But liquid stream exit port (431) is connected to pump (41) by conduit two (43), and the pump (41) is connected to cooling by hose (45) Liquid container (4), the coolant liquid in cooling liquid container (4) are pumped into conduit one (42) by pump (41), port are flowed by coolant liquid (421) enter between inner wire one (14a) and outer conductor one (12a) and between inner wire two (14b) and outer conductor two (12b) Gap, then by coolant liquid outflow port (431) outflow, pass through conduit two (43) flow back;The other end of the cable two (51) Terminal interface (5) is connected to, close to antenna probe one (11a) and antenna probe on outer conductor one (12a) and outer conductor two (12b) Two one end (11b) are mounted on 360 ° of high definition micropore cameras, and camera is connected to cable two (51) by data line;It is described micro- Wave producer (2) is equipped with display screen (21), jack one (22), jack two (23), and plug is equipped on the cable one (19) (20), the plug (20) is inserted into the jack one (22) to be connected to microwave generator (2);The jack two (23) is logical Cross cable three (31) connecting brake (3).
2. a kind of microwave ablation therapeutic equipment for treating fibroid as described in claim 1, which is characterized in that the handle (15) ablation system control button is housed in.
3. a kind of microwave ablation therapeutic equipment for treating fibroid as described in claim 1, which is characterized in that the cable one (19) it is equipped with separator (18) close to hub (17) one end.
4. a kind of microwave ablation therapeutic equipment for treating fibroid as claimed in claim 3, which is characterized in that the separator (18) it is catheterization microwave energy delivery device, is mainly made of circuit board and shielded connector.
5. a kind of microwave ablation therapeutic equipment for treating fibroid as claimed in claim 3, which is characterized in that the separator (18) it is additionally provided with filter between handle (15).
6. a kind of microwave ablation therapeutic equipment for treating fibroid as described in claim 1, which is characterized in that the antenna is visited Needle one (11a) and antenna probe two (11b) are cone point, and exterior view has coating (111).
7. a kind of microwave ablation therapeutic equipment for treating fibroid as claimed in claim 6, which is characterized in that the antenna is visited Needle one (11a) and antenna probe two (11b) are made of the various heat proof materials for being adapted to penetrate through tissue, preferably metal (such as stainless steel) and various thermoplastic materials (such as polyetherimide and polyamide thermoplastic resin).
8. a kind of microwave ablation therapeutic equipment for treating fibroid described in claim 6, which is characterized in that the coating (111) constituent is:Polytetrafluoroethylene (PTFE) (PTFE), polyvinyl chloride and Parylene, three are 5 according to mass ratio:1:2 Ratio composition mixture.
9. a kind of microwave ablation therapeutic equipment for treating fibroid as described in claim 1, which is characterized in that the antenna is visited Needle one (11a) and antenna probe two (11b) exterior view have coating (111).
CN201810090921.XA 2018-01-30 2018-01-30 Microwave ablation therapeutic apparatus for treating hysteromyoma Expired - Fee Related CN108523990B (en)

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